5FQ-29404-69732
2 vaccinations
6 coded responses
24 check-ins
6 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 982 / WA
- Registered
- 2021-02-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-26
Registered in v-safe
-
2021-02-26
Dose 1 — Moderna
- 2021-02-26
- 2021-02-27
- 2021-02-28
-
2021-03-01
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-12
-
2021-03-19
Survey response — day 21, dose 1MedDRA: Limb discomfort, Musculoskeletal stiffness — Feeling: FairFree text: Increased stiffness and discomfort in arm that received vaccine (left)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-26
Dose 2 — Moderna
- 2021-03-26
-
2021-03-27
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tirednessFree text: Lymph node in left armpit hurtMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-28
Survey response — days 1–6 daily, dose 2MedDRA: Dyspepsia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: IndigestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-29
Survey response — days 1–6 daily, dose 2MedDRA: Discomfort, Lymphadenopathy — Feeling: Poor · Muscle or body aches · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Swollen lymph nodes in left armput causing extreme discomfortMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-29
Report sent to call center — days 1–6 daily, dose 2Get care from a doctor or other healthcare professional1 call case(s)
-
2021-03-31
Survey response — days 1–6 daily, dose 2MedDRA: Discomfort, Limb discomfort, Lymph node pain, Lymphadenopathy — Feeling: FairFree text: Lymph Nodes in left armput are still enlsrged and causing discomfortMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
- 2021-04-02
-
2021-04-09
Survey response — day 14, dose 2MedDRA: Pain in extremity, Unevaluable event — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: My left arm (shoulder) continues to be very painful. I had some difficulties with it prior to vaccination, but it has continued to worsen with/after each vaccination, both of which were in the left arm. · Healthcare visit (other): Saw provider where I workMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-09
Report sent to call center — day 14, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-16
- 2021-04-25
- 2021-04-30
- 2021-05-07
- 2021-06-25
- 2021-09-24
-
2022-01-24
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Moderna | |
| 2 | 2021-03-26 | Moderna |
Call center
2 call center cases
2 successful
Free text
Release 5 — day 21, dose 1
Symptoms: Increased stiffness and discomfort in arm that received vaccine (left)
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Lymph node in left armpit hurt
Systemic reaction (other): Indigestion
Systemic reaction (other): Swollen lymph nodes in left armput causing extreme discomfort
Systemic reaction (other): Lymph Nodes in left armput are still enlsrged and causing discomfort
Release 7 — day 14, dose 2
Symptoms: My left arm (shoulder) continues to be very painful. I had some difficulties with it prior to vaccination, but it has continued to worsen with/after each vaccination, both of which were in the left arm.
Healthcare visit (other): Saw provider where I work
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Unevaluable event | ✓ | ✓ | ✓ |
| SD | Limb discomfort | ✓ | ✓ | ✓ |
| SD | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Discomfort | ✓ | ✓ | ✓ |
| SRO | Dyspepsia | ✓ | ✓ | ✓ |
| SRO | Limb discomfort | ✓ | ✓ | ○ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release